Margaret Miracle, MA, CCC-SLP, AVT
Individual provider Active NPI Speech-Language Pathologist · Baxter, KY
NPI 1356550263 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356550263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3087 (KY)
- Practice address
- 1148 Coldiron Heights
Baxter, KY 40831 - Phone
- (606) 573-6052
- Fax
- (606) 573-4030
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3087 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Kentucky Speech Hearing and Therapy Services | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3087 | KY | Yes |
Addresses
Primary practice location
1148 Coldiron Heights
Baxter, KY 40831
Mailing address
PO Box 1001
Harlan, KY 40831-1001
Phone (606) 574-1430
Other providers in Baxter, KY
- Rebecca Singleton Goss
- Kassandra Hampton
- Rebecca Ann Hensley
- Leisge Dental, PLLC
- Connor Franklin Leisge
- Rachel Cornett Rose
- Bradley Wayne Shelton
All providers in Baxter, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.